Saturday, September 20, 2008

Yesterday I had to call my health insurance to ask about a claim. I had taken three of the girls in for annual physicals, and the benefits statements just showed up. For two of the girls, it was just the regular co-pay. For Violet, though, her urine test was an extra charge.

I asked why they paid for the other two girls' pee tests were covered, and Violet's wasn't-- they said that the visit itself had been coded as a "Preventative Exam", but that the pee test was coded with a diagnosis.

Me: "What is the diagnosis? All she had was a regular physical like the other two girls."Insurance: "The diagnosis is for scoliosis. Therefore, it is not just a regular physical. That's why we didn't cover her urine test."Me: "During the regular checkup, the doctor suspected that she might have scoliosis. It was just part of the checkup."Insurance: "Then the doctor must have ordered the extra test because she had scoliosis."Me: "Are you telling me that a doctor diagnoses scoliosis from somebody's urine?"Insurance: silenceInsurance: "I'll send this claim back to be coded properly."

Jello Ingredients

GreenJello

Utah, United States

I'm Suz, a mother of 7 beautiful daughters & step-daughters, ranging in age from 22 to 14. I work full-time as a computer geek, and have a part-time internet business on the side in my free time (ha!). Life is never boring around here!